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SAMANTHA AYERS

Individual Provider (NPI-1) Active

Point of Service

Provider Information

NPI Number
1003505843
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1120 MAIN ST, SOUTHAVEN, MS, 386711428
Phone
(901) 846-3092

Specialties & Taxonomies

Point of Service Primary

All Addresses

MAILING

4904 RICHARD PLACE CV

HORN LAKE, MS, 386379601

(901) 846-3092

LOCATION

1120 MAIN ST

SOUTHAVEN, MS, 386711428

(901) 846-3092